10/1/2019 How to Understand that Determinants Don’t Have to Be Destiny: A Trauma-Informed Understanding of the @RootCauseCo Social Determinants of Health @RootCauseCoalition company/root-cause-coalition/ 1 2 Understanding Trauma Mission: Activating Communities to Heal E vent – Actual experience or threat of physical or psychological harm OR the lack/withholding/control of material or relational resources crucial Our Mission is implemented with community by: to health and development. Can be a single event or repeated events. • Elevating community wisdom , centering those who have experienced trauma as leaders of the E xperience – How someone assigns meaning to the event, which work. • Disrupting systemic oppression and responding depends on the perception of the individual. to the impact of historical trauma. E ffects – Results of the person’s experience of the event. This can • Acting with urgency , not waiting for another day or generation. • Leading innovative solutions based on the include neurological, physical, emotional, and cognitive effects . science of trauma, toxic stress and resiliency. + Working definition – SAMHSA, Trauma and Justice 3 4 Adverse Childhood Experiences (ACEs) Source: Liverpool CAMHS 5 6 1
10/1/2019 Layers of Trauma Changing the Question Racism Poverty Individual Trauma To become alive and well, we need to change the question from… Community Trauma Gender Lack of Access What’s wrong with you? Inequity Historical Trauma to Systemic Xeno- What happened to you? Violence Oppression phobia 7 8 The Core Principles 9 10 Moving from Universal Approaches to Achieving Equity Through Targeted Targeted Universalism Universalism john a powell, Stephen Menendian, and Jason Reese Center community voice to understand each community’s unique trauma Targeting within universalism means to identify a problem, experience and support them in activating their own healing. particularly one suffered by marginalized people, propose a Recognize universal approaches will not lead to equity and improved well- solution, and then broaden its scope to cover as many people as being for all. Trauma has uniquely impacted different populations of possible. Americans, including Black Americans, Native Americans, Latinx Americans, LGBTQ Americans, New Americans, etc. With equity as the outcome, TU supports the unique needs of the particular with scalability reminding us that we are all part of the Communities need resources and supports to heal from their unique trauma histories, as well as the historical trauma they have endured. same social and economic fabric. 11 12 2
10/1/2019 Contact Information Ave Stokes & Sean Marz Rosetta Keeton Director of Patient Access Alive and Well Communities St. Louis Regional Health Commission Ave: astokes@awcommunities.org rkeeton@stlrh.org Sean: smarz@awcommunities.org www.stlrhc.org www.awcommunities.org www.awcommunities.org 13 14 Questions? @RootCauseCo @RootCauseCoalition company/root-cause-coalition/ 15 3
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